PRATIK MODI

AUGUSTA, GA
NPI1992133433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  006993)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: GA  006993)
Enumeration Date2013-10-18
Last Update Date2023-11-15
Business Address
PRATIK MODI PA-C
1120 15TH ST
AUGUSTA, GA 30912-1405
Phone number: 706-721-8623
Mailing Address
PRATIK MODI PA-C
1120 15TH ST # OR6000
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813